Chronic pancreatitis is a disabling disease that presents as abdominal pain, weight loss and malnutrition secondary to malabsorption of nutrients due to exocrine pancreatic insufficiency (EPI). We present the case of a patient diagnosed with chronic idiopathic calcifying pancreatitis with dilatation of the duct of Wirsung, EPI and segmental portal hypertension secondary to splenic vein thrombosis, who required surgical treatment by distal pancreatectomy, splenectomy, and Puestow’s longitudinal pancreaticojejunostomy. We believe that it may be of interest to learn about the surgical treatment of these patients, in case of failure of endoscopic treatment, as these are uncommon procedures.
Journal Information
Vol. 100. Issue 11.
Pages 730 (November 2022)
Vol. 100. Issue 11.
Pages 730 (November 2022)
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Distal pancreatectomy with splenectomy and Puestow’s lateral pancreaticojejunostomy in chronic pancreatitis
Pancreatectomía distal con esplenectomía y pancreático-yeyunostomía lateral s.t. Puestow en pancreatitis crónica
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Laura Sobrerroca Porras
, Eric Herrero Fonollosa, Judith Camps Lasa, María Isabel García-Domingo, Esteban Cugat Andorrà
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Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Digestiva, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain
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